American Journal of Epidemiology Vol. 133, No. 11: 1152-1160
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health
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Increase of Vaccination Coverage by Mass Media and Individual Approach: Intensified Measles, Mumps, and Rubella Prevention Program in Finland
1National Public Health Institute Helsinki, Finland
2Department of Public Health, University of Helsinki Helsinki, Finland
3The Children's Hospital, University of Helsinki Helsiniki, Finland
4Department of Economics, University of Helsinki Helsinki, Finland
Reprint requests to Dr. Mikko Paunto, Department of Public Health, University of Helsinki, Haartmaninkatu 3, 00290 Helsinki, Finland.
In the 1970s, mass vaccination projects were started in various parts of the world against measles and congenital rubella, with eradication as the final goal. In many developing and industrial countries, induding Finland, the elimination of measles failed because of low vaccination coverage. In Finland, a combined measles, mumps, and rubella (Vinvac) vaccination program was started in 1982. Computerized recording of the vaccinated children was considered necessary and was integrated with the popu lation registry to identify the hard-to-reach families. Several interventions improved compliance: a mass media campaign and notification of nonvaccinated children to local health professionals and parents. All successive campaigns increased vaccination coverage significantly, with the notification of parents about their nonvaccinated child being especially effective. A vaccination coverage of over 96% was achieved, which theoretically prevents measles, mumps, and rubella transmission.
intervention studies; measles; mumps; rubella; vaccination
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